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Cannabis-Involved Traffic Injury Emergency Department Visits After Cannabis Legalization and Commercialization

JAMA Netw Open. 2023;6(9):e2331551. doi:10.1001/jamanetworkopen.2023.31551

Key Points

Question  Have cannabis-involved traffic injury emergency department visits changed after cannabis legalization and the subsequent commercialization of the cannabis retail market (ie, store and product expansion) in Ontario, Canada?

Findings  In this cross-sectional study capturing 426 cannabis-involved traffic injury emergency department visits, annual rates of cannabis involvement increased by 475.3% over 13 years. After accounting for time trends, legalization with restrictions was not associated with increased cannabis involvement during traffic injury emergency department visits; however, market commercialization, which overlapped with the COVID-19 pandemic, was.

Conclusions and Relevance  This cross-sectional study found large increases in cannabis involvement in ED visits for traffic injury over time, which may have accelerated following nonmedical cannabis commercialization. Although the frequency of visits was rare, they may reflect broader changes in cannabis-impaired driving. Greater prevention efforts, including targeted education and policy measures, in regions with legal cannabis are indicated.

(Source: Emergency Medicine | JAMA Network Open | JAMA Network

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